Surgical cannula mounts and related systems and methods

ABSTRACT

A cannula mount for a surgical system may include a body having an aperture to receive a portion of a cannula. The cannula mount may further include a pivotable clamping arm to engage the portion of the cannula received in the aperture. The clamping arm may include a cam follower surface. The cannula mount may further include a block moveable between a first position and a second position. The block may include a cam surface. The cam surface of the block may engage the cam follower surface of the clamping arm in the first position to actuate the clamping arm to a closed position in which the clamping arm engages the portion of the cannula received in the aperture. The clamping arm may be permitted to move to an open position in which the clamping arm does not engage the cannula when the block is in the second position.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a U.S. national stage application under 35 U.S.C. §371(c) of International Application No. PCT/US2015/020916, filed on Mar.17, 2015, which claims the benefit of priority to U.S. ProvisionalApplication No. 61/954,222, filed on Mar. 17, 2014, each of which ishereby incorporated by reference in its entirety.

TECHNICAL FIELD

Aspects of the present disclosure relate to surgical cannulas, cannulamounts, and related systems and methods.

BACKGROUND

Remotely controlled surgical instruments, which can include teleoperatedsurgical instruments as well as manually operated (e.g., laparoscopic,thorascopic) surgical instruments, are often used in minimally invasivemedical procedures. During surgical procedures, a surgical instrumentthat extends through a cannula inserted into a patient's body can beremotely manipulated to perform a procedure at a surgical site. Forexample, in a teleoperated surgical system, cannulas and surgicalinstruments can be mounted at manipulator arms of a patient side cartand be remotely manipulated via teleoperation at a surgeon console.

Generally, in teleoperated surgical procedures, a cannula is manuallyinserted in a patient at a desired incision site and, once positioned,is then docked to a mount on a manipulator arm. Cannula mounts have beenuseful and effective for surgical procedures, but still furtherimprovements upon cannulas, cannula mounts, and the surgical systemsthat include them would be desirable.

SUMMARY

Exemplary embodiments of the present disclosure may solve one or more ofthe above-mentioned problems and/or may demonstrate one or more of theabove-mentioned desirable features. Other features and/or advantages maybecome apparent from the description that follows.

In accordance with at least one exemplary embodiment, a cannula mountfor a surgical system may comprise a body including an aperture toreceive a portion of a cannula. The cannula mount may further comprise apivotable clamping arm to engage the portion of the cannula received inthe aperture. The clamping arm may comprise a cam follower surface. Thecannula mount may further comprise a block moveable between a firstposition and a second position. The block may comprise a cam surface.The cam surface of the block may engage the cam follower surface of theclamping arm in the first position to actuate the clamping arm to aclosed position in which the clamping arm engages the portion of thecannula received in the aperture. The clamping arm may be permitted tomove to an open position in which the clamping arm does not engage thecannula when the block is in the second position.

In accordance with another exemplary embodiment, a cannula sterileadaptor for a surgical system may comprise a first portion and a secondportion. The first portion may comprise a rigid material. The secondportion may comprise a compliant material. The cannula sterile adaptormay comprise a depression to receive a clamping arm of a cannula mountof the surgical system. The first portion or the second portion maycomprise the depression to receive the clamping arm.

In accordance with another exemplary embodiment, a cannula mount for asurgical system may comprise a body including an aperture to receive aportion of a cannula. The cannula mount may further comprise a pluralityof pivotable clamping arms to engage the portion of the cannula receivedin the aperture. The cannula mount may further comprise a block moveablebetween a first position and a second position. The block may engageeach of the clamping arms in the first position to actuate the pluralityof clamping arms to a closed position in which the clamping arms engagethe portion of the cannula received in the aperture.

In accordance with another exemplary embodiment, a teleoperated surgicalsystem may comprise a cannula mount. The cannula mount may comprise abody including an aperture to receive a portion of a cannula. Thecannula mount may further comprise a pivotable clamping arm to engagethe portion of the cannula received in the aperture. The clamping armmay comprise a cam follower surface. The cannula mount may furthercomprise a block moveable between a first position and a secondposition. The block may comprise a cam surface. The cam surface of theblock may engage the cam follower surface of the clamping arm in thefirst position to actuate the clamping arm to a closed position in whichthe clamping arm engages the portion of the cannula received in theaperture. The clamping arm may be permitted to move to an open positionin which the clamping arm does not engage the cannula when the block isin the second position. The teleoperated surgical system may furthercomprise a cannula sterile adaptor and a cannula.

In accordance with another exemplary embodiment, a surgical cannula maycomprise a bowl section, a tube, and an attachment portion. Theattachment portion may extend from the bowl section, the attachmentportion being configured to engage with at least one of a cannulasterile adaptor and a cannula mount of a surgical system. The attachmentportion may extend from the bowl section along a radial direction withrespect to a longitudinal axis of the cannula, the attachment portiontapering in a direction away from the bowl section.

In accordance with another exemplary embodiment, a cannula sterileadaptor for a surgical system comprises a sidewall forming a recessconfigured to receive an attachment portion of a cannula. At least oneinner surface of the sidewall forms a recess having a shapecorresponding to a shape of the attachment portion. The at least oneinner surface of the sidewall comprises a protrusion in the at least oneinner surface, the protrusion being configured to be inserted into adepression of the cannula attachment portion.

Additional objects, features, and/or advantages will be set forth inpart in the description which follows, and in part will be obvious fromthe description, or may be learned by practice of the present disclosureand/or claims. At least some of these objects and advantages may berealized and attained by the elements and combinations particularlypointed out in the appended claims.

It is to be understood that both the foregoing general description andthe following detailed description are exemplary and explanatory onlyand are not restrictive of the claims; rather the claims should beentitled to their full breadth of scope, including equivalents.

BRIEF DESCRIPTION OF THE DRAWINGS

The present disclosure can be understood from the following detaileddescription, either alone or together with the accompanying drawings.The drawings are included to provide a further understanding of thepresent disclosure, and are incorporated in and constitute a part ofthis specification. The drawings illustrate one or more exemplaryembodiments of the present teachings and together with the descriptionserve to explain certain principles and operation.

FIG. 1 is a perspective view of a patient side cart, according to anexemplary embodiment.

FIG. 2 is a side view of a cannula, according to an exemplaryembodiment.

FIG. 3 is an exploded schematic view of parts of a cannula mount system,according to an exemplary embodiment.

FIG. 4 is an exploded view of a cannula mount system, according to anexemplary embodiment.

FIG. 5 is a partial perspective, transverse sectional view of thecannula mount system of FIG. 4.

FIG. 6 is a sectional view of a nested spring, according to an exemplaryembodiment.

FIG. 7 is a partial perspective, lengthwise sectional view of thecannula mount system of FIG. 4.

FIG. 8 shows a perspective view of the cannula mount system of FIG. 4with a handle in a depressed position.

FIG. 9 shows the cannula mount system of FIG. 4 with clamping arms in anopen position and the cannula partially inserted.

FIG. 10 shows the cannula mount system of FIG. 4 with the handle in anon-depressed position.

FIG. 11 shows the cannula mount system of FIG. 4 with clamping arms in aclosed position and the cannula fully inserted.

FIG. 12 is an exploded view of a cannula mount system with interiorportions depicted, according to another exemplary embodiment.

FIG. 13 is a partial interior, plan view of the cannula mount system ofFIG. 12.

FIG. 14 is a plan partial view, with interior portions depicted, of thecannula mount system of FIG. 12.

FIG. 15 is a partial plan view, with interior portions depicted, of thecannula mount system of FIG. 12 showing the cannula partially inserted.

FIG. 16 is a partial plan view of the cannula mount system of FIG. 12showing the cannula fully inserted.

FIG. 17 is an exploded perspective view of a cannula mount system,according to yet another exemplary embodiment.

FIG. 18 is a side view of a cannula, according to an exemplaryembodiment.

FIG. 19 is a partial perspective view of the cannula and cannula mount,with interior portions depicted, of the exemplary embodiment of FIG. 17.

FIG. 20 is another partial perspective view of the cannula mount andcannula, with interior portions depicted, of the exemplary embodiment ofFIG. 17.

FIG. 21 is a perspective view of a moveable block, as used in thecannula mount system of FIG. 17, according to an exemplary embodiment.

FIG. 22 is a perspective view of a clamping arm, as used in the cannulamount system of FIG. 17, according to an exemplary embodiment.

FIG. 23 is a partial plan view, with interior portions depicted, of acannula in a mounted position with the cannula mount of FIG. 17.

FIG. 24 is a side view, with interior portions depicted, of a cannulamounted to a cannula mount including a locking member, according to anexemplary embodiment.

FIG. 25 is a partial exploded view of a cannula mount, according toanother exemplary embodiment.

FIG. 26 is a partial side view of a cannula inserted into a body wall,according to another exemplary embodiment.

FIG. 27 is a partial perspective view of a cannula mounted to a cannulasterile adaptor, according to another exemplary embodiment.

FIG. 28 is an enlarged view of area 28 of FIG. 27.

FIG. 29 is a side view of a cannula sterile adaptor, according toanother exemplary embodiment.

DETAILED DESCRIPTION

This description and the accompanying drawings that illustrate exemplaryembodiments should not be taken as limiting. Various mechanical,compositional, structural, electrical, and operational changes may bemade without departing from the scope of this description and theclaims, including equivalents. In some instances, well-known structuresand techniques have not been shown or described in detail so as not toobscure the disclosure. Like numbers in two or more figures representthe same or similar elements. Furthermore, elements and their associatedfeatures that are described in detail with reference to one embodimentmay, whenever practical, be included in other embodiments in which theyare not specifically shown or described. For example, if an element isdescribed in detail with reference to one embodiment and is notdescribed with reference to a second embodiment, the element maynevertheless be claimed as included in the second embodiment.

For the purposes of this specification and appended claims, unlessotherwise indicated, all numbers expressing quantities, percentages, orproportions, and other numerical values used in the specification andclaims, are to be understood as being modified in all instances by theterm “about,” to the extent they are not already so modified.Accordingly, unless indicated to the contrary, the numerical parametersset forth in the following specification and attached claims areapproximations that may vary depending upon the desired propertiessought to be obtained. At the very least, and not as an attempt to limitthe application of the doctrine of equivalents to the scope of theclaims, each numerical parameter should at least be construed in lightof the number of reported significant digits and by applying ordinaryrounding techniques.

It is noted that, as used in this specification and the appended claims,the singular forms “a,” “an,” and “the,” and any singular use of anyword, include plural referents unless expressly and unequivocallylimited to one referent. As used herein, the term “include” and itsgrammatical variants are intended to be non-limiting, such thatrecitation of items in a list is not to the exclusion of other likeitems that can be substituted or added to the listed items.

Further, this description's terminology is not intended to limit thedisclosure or claims. For example, spatially relative terms—such as“beneath”, “below”, “lower”, “above”, “upper”, “proximal”, “distal”, andthe like—may be used to describe one element's or feature's relationshipto another element or feature as illustrated in the orientation of thefigures. These spatially relative terms are intended to encompassdifferent positions (i.e., locations) and orientations (i.e., rotationalplacements) of a device in use or operation in addition to the positionand orientation shown in the figures. For example, if a device in thefigures is inverted, elements described as “below” or “beneath” otherelements or features would then be “above” or “over” the other elementsor features. Thus, the exemplary term “below” can encompass bothpositions and orientations of above and below. A device may be otherwiseoriented (rotated 90 degrees or at other orientations) and the spatiallyrelative descriptors used herein interpreted accordingly. The relativeproximal and distal directions of surgical instruments are labeled inthe figures.

The present disclosure contemplates various cannula mount systems formounting a cannula to a manipulator arm of a patient side cart of asurgical system. Exemplary embodiments can securely hold cannulas thatmay vary in size due to a manufacturing tolerance. Exemplary embodimentsalso may permit cannulas to be mounted and removed in a simple, quick,and reliable manner, for example, enabling one-handed manipulation oflatch assemblies used to move a mount between open and closed positions.The exemplary embodiments also facilitate a determination that a cannulahas been fully mounted, which minimizes or eliminates occurrences of auser forcing a cannula to be mounted. In various exemplary embodiments,mounting of the cannula may be partially actuated by the cannula mount.Further, the structure of the cannula mount may facilitate properalignment between a cannula and the mount when mounting the cannula.

Various exemplary embodiments of the present disclosure contemplatecannula mounts for a surgical system. The mount includes a body havingan aperture to receive a portion of a cannula. A pivotable clamping armof the mount may engage the portion of the cannula received in theaperture to clamp the cannula. The clamping arm comprising a camsurface. The mount may further include a block moveable between a firstposition and a second position. The block may include a cam surface thatengages the cam surface of the clamping arm in the first position toactuate the clamping arm to a closed position in which the clamping armengages the portion of the cannula received in the aperture. Theclamping arm may be permitted to move to an open position in which theclamping arm does not engage the cannula when the block is in the secondposition. The clamping arm may engage and clamp a cannula over a rangeof motion of the clamping arm, permitting the clamping arm toaccommodate cannulas of varying size. The cannula mount may beconfigured so when the block moves from the second position to the firstposition, the cam surface of the block engages and slides against thecam surface of the clamping arm until the portion of the cannula isclamped by the clamping arm. The cannula mount may include a singleclamping arm or a plurality of clamping arms. When the cannula mountincludes a plurality of clamping arms, the block may engage each of theclamping arms in the first position to actuate the clamping arms to theclosed position in which the clamping arms engage the portion of thecannula. The clamping arm may be biased to the first position, such asby, for example, a spring. The spring may comprise a plurality ofsprings to bias the block to the first position. The portion of thecannula may include a metal member and the block may include a magnet tointeract with the metal member. The cannula mount may be provided on amanipulator arm of a surgical system, such as a manipulator arm of apatient side cart of a teleoperated surgical system.

Various exemplary embodiments further contemplate a cannula sterileadaptor for a surgical system including a first portion comprising arigid material and a second portion comprising a compliant material. Thecannula sterile adaptor may comprise a depression to receive a clampingarm of a cannula mount of the surgical system. The depression may belocated in, for example, the first portion or the second portion of thecannula sterile adaptor. The second portion may be made of athermoplastic elastomer, such as, for example, a soft, flexiblethermoplastic elastomer. According to an exemplary embodiment, asurgical drape may be connected to the second portion. According toanother exemplary embodiment, a surgical drape may be connected to thefirst portion. The first portion may include a retention feature toconnect the cannula sterile adaptor to the cannula mount.

Referring now to FIG. 1, an exemplary embodiment of a patient side cart100 of a teleoperated surgical system is shown. A teleoperated surgicalsystem may further include a surgeon console (not shown) for receivinginput from a user to control instruments of patient side cart 100, aswell as an auxiliary control/vision cart (not shown), as described in,for example, U.S. Pub. No. US 2013/0325033, entitled “Multi-PortSurgical Robotic System Architecture” and published on Dec. 5, 2013, andU.S. Pub. No. US 2013/0325031, entitled “Redundant Axis and Degree ofFreedom for Hardware-Constrained Remote Center Robotic Manipulator” andpublished on Dec. 5, 2013, each of which is hereby incorporated byreference in its entirety. Non-limiting, exemplary embodiments ofteleoperated surgical systems with which the principles of the presentdisclosure may be utilized include the da Vinci® Si (model no. IS3000)da Vinci® Si Surgical System, Single Site da Vinci® Surgical System, ora da Vinci® Xi Surgical System, available from Intuitive Surgical, Inc.of Sunnyvale, Calif.

Patient side cart 100 may include a base 102, a main column 104, and amain boom 106 connected to main column 104. Patient side cart 100 mayalso include a plurality of manipulator arms 110, 111, 112, 113, whichmay each be connected to main boom 106. Manipulator arms 110, 111, 112,113 may each include an instrument mount portion 120 to which aninstrument 130 may be mounted, which is illustrated as being attached tomanipulator arm 110. Portions of manipulator arms 110, 111, 112, 113 maybe manipulated during a surgical procedure according to commandsprovided by a user at the surgeon console. In an exemplary embodiment,signal(s) or input(s) transmitted from a surgeon console may betransmitted to the control/vision cart, which may interpret the input(s)and generate command(s) or output(s) to be transmitted to the patientside cart 100 to cause manipulation of an instrument 130 (only one suchinstrument being mounted in FIG. 1) and/or portions of manipulator arm110 to which the instrument 130 is coupled at the patient side cart 100.

Instrument mount portion 120 may comprise an actuation interfaceassembly 122 and a cannula mount 124, with a shaft 132 of instrument 130extending through cannula mount 124 (and on to a surgery site during asurgical procedure) and a force transmission mechanism 134 of instrument130 connecting with the actuation interface assembly 122, according toan exemplary embodiment. Cannula mount 124 may be configured to hold acannula (not shown in FIG. 1) through which shaft 132 of instrument 130may extend to a surgery site during a surgical procedure. Actuationinterface assembly 122 may contain a variety of drive and othermechanisms that are controlled to respond to input commands at thesurgeon console and transmit forces to the force transmission mechanism134 to actuate instrument 130, as those skilled in the art are familiarwith.

Although the exemplary embodiment of FIG. 1 shows an instrument 130attached to only manipulator arm 110 for ease of illustration, aninstrument may be attached to any and each of manipulator arms 110, 111,112, 113. An instrument 130 may be a surgical instrument with an endeffector or may be an endoscopic imaging instrument or other sensinginstrument utilized during a surgical procedure to provide information,(e.g., visualization, electrophysiological activity, pressure, fluidflow, and/or other sensed data) of a remote surgical site. In theexemplary of FIG. 1, a surgical instrument with an end effector or animaging instrument may be attached to and used with any of manipulatorarms 110, 111, 112, 113. However, the embodiments described herein arenot limited to the exemplary embodiment of FIG. 1 and various otherteleoperated surgical system configurations may be used with theexemplary embodiments described herein.

Turning to FIG. 2, a side view of an exemplary embodiment of a cannula300 is shown. Cannula 300 may include a bowl section 302 forming aproximal end 304 of cannula 300, and a tube 306 extending from bowlsection 302 to a distal end 308 of cannula 300. The proximal and distaldirections with respect to the orientation of FIG. 2 are labeled. Asshown in the exemplary embodiment of FIG. 2, tube 306 may have a lengthL and distal end 308 may have a diameter D, each of which may varydepending on a desired application of cannula 300, as those havingordinary skill in the art are familiar with. Further, as shown in theexemplary embodiment of FIG. 2, tube 306 may be straight, although theexemplary cannula embodiments described herein are not limited to astraight tube. For example, tube 306 may instead be a curved tube (e.g.a tube having a curved longitudinal axis along all or part of itslength). According to an exemplary embodiment, tube 306 may be rigid.However, the various exemplary embodiments described herein are notlimited to cannula with rigid tubes. For example, tube 306 may be, forexample, a flexible tube.

Cannula 300 may be inserted through an opening in a patient's body to asurgical site. For example, distal end 308 of cannula may be insertedthrough an opening, such as, for example, an incision, natural orifice,or port, to a surgical site. A surgical instrument, such as instrument160 in the exemplary embodiment of FIG. 1, can be inserted throughcannula 300 to the surgical site. For example, an instrument may beinserted into proximal end 304 of cannula and advanced through bowlsection 302, tube 306, and distal end 308 of cannula 300 to a surgicalsite.

According to an exemplary embodiment, cannula 300 may be attached to acannula mount to connect the cannula to a manipulator arm of a patientside cart, such as cannula mount 124 of a manipulator arm 110, 111, 112,or 113 of patient side cart 100 of the exemplary embodiment of FIG. 1.As depicted in FIG. 2, cannula 300 may include an attachment portion 310to connect cannula 300 to a cannula mount of a manipulator arm.Attachment portion 310 may be, for example, a projection that isconfigured to be inserted into and held by a cannula mount of amanipulator arm, according to an exemplary embodiment. As shown in theexemplary embodiment of FIG. 2, attachment portion 310 may be part of,or otherwise joined to, bowl section 302 of cannula 300 and may projectfrom bowl section 302. As will be discussed below, a cannula sterileadaptor (not shown in FIG. 2) may be mounted between a cannula mount andcannula 300, with cannula sterile adaptor being connected to a drape(not shown in FIG. 2) so the cannula sterile adaptor and the drape mayform a boundary between a sterile region and non-sterile region.

To schematically explain the mounting of a cannula and cannula sterileadaptor to a manipulator arm of a patient side cart, FIG. 3 depicts anexploded view of a cannula 400, cannula sterile adaptor 420, and acannula mount 430 of a patient side cart. Cannula mount 430 may be, forexample, cannula mount 124 provided on one of manipulator arms 110-113of patient side cart 100 of FIG. 1. Cannula 400 may include a bowlsection 402, proximal end 404, tube 406, and attachment portion 410,similar to cannula 300 in the exemplary embodiment of FIG. 2. Cannulasterile adaptor 420 may be joined to cannula mount 430, such as byinserting a portion 421 of cannula sterile adaptor 420 into an aperture432 of cannula mount 430. As those having ordinary skill in the art arefamiliar with, cannula sterile adaptor 420 may facilitate forming aboundary between a sterile region and non-sterile region. For example, asurgical drape 426 (shown schematically in FIG. 3 with dashed lines) maybe attached to cannula sterile adaptor 420 to separate a sterile side426 from a non-sterile side 428 of drape 424. Attachment portion 410 ofcannula 400 may be structured to fit inside an opening 422 of cannulasterile adaptor 420 so that cannula 400 remains on sterile side 426 ofdrape 424. Further, when cannula sterile adaptor 420 has been connectedto cannula mount 430, and attachment portion 410 is inserted intoopening 422 of cannula sterile adaptor 420, cannula 400 may also beconnected to cannula mount 430 so that cannula 400 may be held bycannula mount 430 during a surgical procedure.

According to an exemplary embodiment, a portion of cannula tube 406 maybe inserted into a patient's body, such as via an orifice, beforemounting cannula 400 to cannula mount 430. In this case, cannula sterileadaptor 420 may be first mounted to cannula mount 430 and then themanipulator arm including cannula mount 430 may be maneuvered soaperture 432 of cannula mount 430 is aligned with attachment portion410. Subsequently, the manipulator arm including cannula mount 430 andthe attachment portion 410 may be maneuvered toward each other soattachment portion 410 is inserted within aperture 432, with sterileadaptor 420 disposed therebetween, to mount cannula 400 to cannula mount430. Although the exemplary embodiment of FIG. 3 depicts cannula 400 asbeing mounted to cannula mount 430 with cannula sterile adaptor 420,cannula 400 may be mounted directly to cannula mount 430 without cannulasterile adaptor 420 in between cannula 400 and cannula mount 430.

It is desirable to provide structures for mounting cannulas, as well ascannula sterile adaptors, in a quick, easy, and reliable manner thatalso securely hold the cannula. Various exemplary embodiments arecontemplated for achieving this. Turning to FIG. 4, an exploded view isshown of an exemplary embodiment of a cannula 500, cannula sterileadaptor 520, and a cannula mount 530 of a patient side cart. Cannulamount 530 may be, for example, cannula mount 124 provided on one ofmanipulator arms 110-113 of patient side cart 100 of FIG. 1. Cannula 500may include a bowl section 502, proximal end 504, tube 506 (shown inpart in the exemplary embodiment of FIG. 4), and attachment portion 510,similar to cannula 300 in the exemplary embodiment of FIG. 2. Accordingto an exemplary embodiment, attachment portion 510 may includedepressions 512, such as on opposite sides of attachment portion 510 (asshown in FIG. 5), to assist with mounting cannula 500 to cannula mount530, as will be discussed below. Depressions 512 may be configured tofacilitate mounting of cannula 500 to cannula sterile adaptor 520 andcannula mount 530. For example, an angle 513 of depressions 512 may beselected to facilitate an application of a large amount of force betweenattachment portion 510, cannula sterile adaptor 520, and cannula mount530 when cannula 500 is mounted, but also facilitate release ofattachment portion 510. According to an exemplary embodiment, angle 513may range from, for example, about 50 degrees to about 60 degrees.According to an exemplary embodiment, angle 513 may be, for example,about 40 degrees.

Cannula sterile adaptor 520 may include an aperture 522 to receiveattachment portion 510 of cannula 500. As discussed above in regard toFIG. 3, cannula sterile adaptor 520 may be attached to a surgical drape(not shown in FIG. 4) to facilitate forming a boundary between a sterileregion and a non-sterile region. In various exemplary embodiments,cannula sterile adaptor 520 may be provided with different propertiesfor different portions (regions) to facilitate mounting of the cannulasterile adaptor 520 and/or cannula 500 to cannula mount 530. Forexample, cannula sterile adaptor 520 may include a first portion 524 anda second portion 526 that have differing properties, as explained inmore detail below.

According to an exemplary embodiment, first portion 524 may be made of arelatively rigid material that provides structural support for cannulasterile adaptor 520 when cannula sterile adaptor 520 is mounted tocannula mount 530, as well as for cannula 500 when cannula 500 ismounted to cannula sterile adaptor 520. The relatively rigid materialmay also facilitate alignment of attachment portion 510 of cannula 500when attachment portion 510 is inserted within aperture 522 of cannulasterile adaptor 520, due to the stiffness and rigidity of first portion524. Further, the relatively rigid material can be a smooth, lowfriction material, which may facilitate alignment and insertion ofcannula 500 into cannula sterile adaptor 520 by providing a low frictionsurface over which attachment portion 510 of cannula 500 may easilyslide. In addition, first portion 524 may be configured to accommodateforces applied between cannula 500 and cannula mount 530, such asclamping forces and body wall forces, when cannula 500 is mounted tocannula mount 530.

First portion 524 may be made of a plastic material, such as, forexample, polycarbonate, acrylonitrile butadiene styrene (ABS),polycarbonate/ABS, polyurethane, and other plastics familiar to one ofordinary skill in the art. The low friction surface may also assist withlatching the cannula 500 to cannula mount 530 by facilitating sliding ofcannula 500 when a latching force supplied by cannula mount 530 drawscannula 500 into a mounting position during latching. According to anexemplary embodiment, cannula sterile adaptor 520 may be treated with alubricant to facilitate insertion and/or removal of cannula 500. Thelubricant may be, for example, a dry coating of polytetrafluoroethylene(PTFE) or other lubricant familiar to one of ordinary skill in the artthat is applied to a surface of cannula sterile adaptor 520. In anotherexample, a lubricant filler may be added to the material of cannulasterile adaptor 520, such as to the material of first portion 524 and/orsecond portion 526. The lubricant filler may be, for example, siliconeoil, PTFE, or other lubricant filler familiar to one of ordinary skillin the art. First portion 524 may be, for example, the part of cannulasterile adaptor 520 that is connected to a surgical drape (not shown inFIG. 4), as described above with regard to FIG. 3, with a sterile regionon the side of the drape facing cannula 500 and the non-sterile regionon the side of the drape facing cannula mount 530.

In various exemplary embodiments, a sterile adaptor can have aconfiguration, including size, shape, and/or surface profiles andfeatures that facilitate its interaction with both the cannula mount andthe cannula. As will be further explained below with reference to theillustrated exemplary embodiments, such configurations can promote theease in which a user can insert the cannula and cannula adapter into thecannula mount and/or promote the stability of the attachment of thevarious pieces.

According to an exemplary embodiment, aperture 522 of cannula sterileadaptor 520 forms an opening in cannula sterile adaptor 520 having ashape corresponding to the shape of attachment portion 510 of cannula500, such as to facilitate mounting of cannula 500 within cannulasterile adaptor 520. For example, the cannula sterile adaptor 520 has asidewall 523 that surrounds a recess 575 extending into cannula sterileadaptor 520 from the opening formed by aperture 522. According to anexemplary embodiment, attachment portion 510 tapers in a direction awayfrom the bowl section 502. For example, the recess 575 and surroundingsidewall 523 can taper along direction 521 in FIG. 5, for example in adirection toward the direction of insertion of the sterile adaptor 520into the cannula mount 530. Further, as shown, the recess 575 andsidewall 523 can be slightly elongated in the direction of insertion,with the recess 575 having a shape corresponding to the shape ofattachment portion 510 of cannula 500 and the outer surface profile ofthe sidewall 523 having a shape generally corresponding to the space inwhich the sterile adaptor 520 is received within the cannula mount 530.

Further, as will also be discussed below with regard to FIG. 26, aproximal surface and a distal surface of a cannula attachment portionmay taper. With reference to FIG. 4, the outer surfaces of the sidewall523 may be rounded and taper to assist in insertion of the cannulaadaptor 520 into the cannula mount 530. For example, proximal outersurface 570 and distal outer surface 572 (the directions beingconsidered relative to the direction in which the cannula is extendingin the view of FIG. 4, such as proximal-distal direction in FIG. 4) ofsidewall 523 of cannula sterile adaptor 520 may be tapered, as depictedin FIG. 4. Further, generally oppositely facing side outer surfaces 576(only one such surface being visible in FIG. 4) may taper and cooperatewith surfaces 570 and 572 to form four sides of recess 575 so recess 575corresponds in shape to the shape of attachment portion 510. Sidewall523 may further include inner surfaces corresponding to outer surfaces570, 572, 576, such as a distal inner surface 582, a proximal innersurface (not shown but generally facing distal inner surface 582), andinner side surfaces 586, as depicted in FIG. 5. Inner surfaces maytaper, such as in a manner similar to outer surfaces 570, 572, 576, andform four sides of recess 575 so recess 575 corresponds in shape to theshape of attachment portion 510. According to an exemplary embodiment,inner surfaces of sidewall 523 may provide recess 575 with a squarefrustum shape. Therefore, the sidewall 523 that forms recess 575 mayinclude four inner surfaces (e.g., a first pair of inner surfaces thatgenerally face each other, such as the distal inner surface 582 and theproximal inner surface, and a second pair of two generally oppositelyfacing pairs of surfaces) that taper along direction 521, as depicted inFIGS. 4 and 5. The outer surfaces of sidewall 523 may also taper alongdirection 521, as depicted in FIGS. 4 and 5. Outer surfaces of sidewall523 may also provide cannula sterile adaptor 520 with a square frustumshape, such as in second portion 526 of cannula sterile adaptor 520. Theinner and/or outer surfaces of sidewall 523 of cannula sterile adaptor520 may be curved or flat (e.g., linear) in shape, such as to providethe tapered shape of cannula sterile adaptor 520, which facilitatesinsertion of cannula sterile adaptor 520 into mount 530 and cannulaattachment portion 510 into the recess 575 of cannula sterile adaptor520. Further, the inner surfaces of sidewall 523 may form two pairs ofgenerally oppositely disposed tapering surfaces, the surfaces of eachpair facing generally toward each other.

Cannula sterile adaptor 520 may include depressions or other similarsurface features to assist with mounting cannula 500 to cannula mount530, as will be discussed below. According to an exemplary embodiment,the outer surfaces 576 of sidewall 523 include depressions 527. Adepression 527 may be, for example, located on each of the oppositeouter surfaces 576 of cannula sterile adaptor 520 (as shown in theexemplary embodiment of FIG. 5). Depressions 527 may be formed by, forexample, one or more curved surfaces or may be formed by a plurality offlat, linear surfaces, as illustrated in FIG. 5. Depressions 527 maygenerally correspond in shape to tips of clamping arms of mount 530,which will be discussed below. Thus, the sidewall 523, which formsrecess 575 having a shape corresponding to a shape of attachment portion510, may further include depressions 527 corresponding in shape

According to an exemplary embodiment, inner surfaces (e.g., inner sidesurfaces 586) of sidewall 523 include protrusions 590 extending intorecess 575. The protrusions 590 may correspond in shape to depressions512 in attachment portion 510 of cannula 500. Protrusions 590 maycorrespond in location and/or shape to depressions 527, such as viaprotrusions 590 being located on an opposite side of sidewall 523 fromdepression 527. Protrusions 590 may be formed by, for example, one ormore curved surfaces or may be formed by a plurality of flat, linearsurfaces 584, as illustrated in FIG. 5. Flat surfaces 584 of protrusions590 may be angled at substantially the same angle 513 as depressions 512of attachment portion 512 in order to correspond in shape to attachmentportion 510. Flat surfaces of depressions 527 (e.g., surfaces 574) maysimilarly be angled at substantially the same angle 513 as depressions512 of attachment portion 512, according to an exemplary embodiment.

The depressions and protrusions depicted in the drawings are exemplaryin nature and the present disclosure contemplates other configurationsof depressions and protrusions, such as, for example, other numbers ofdepressions and/or protrusions and other geometries for depressionsand/or protrusions. Further, other surface features could be provided ina cannula sterile adaptor to mate with complementary features of acannula mount and/or attachment portion of a cannula, such as to providea secure engagement between the mount, cannula sterile adaptor, andcannula.

According to an exemplary embodiment, first portion 524 of cannulasterile adaptor 520 may comprise sidewall 523, and thus depressions 527,as well as protrusions 590. Turning to FIG. 29, a side view of anexemplary embodiment of a cannula sterile adaptor 1320 is shown thatincludes a first portion 1324 and a second portion 1326. First portion1324 may be made of, for example, a relatively rigid material and secondportion 1326 may be made of, for example, a relatively compliantmaterial, as discussed in the various exemplary embodiments herein.According to an exemplary embodiment, first portion 1324 may include oneor more projections 1325 comprising a depression 1327 to assist withmounting a cannula to a cannula mount, as discussed above with regard tothe exemplary embodiment of FIG. 5. Thus, although the exemplaryembodiment of FIG. 5 depicts first portion 524 as lacking projections(and second portion 526 of cannula sterile adaptor 520 formingdepressions 527) a first portion of a cannula sterile adaptor may haveother configurations, including the configuration of FIG. 29 thatincludes one or more projections 1325. First portion 1324 may include,for example, a plurality of projections 1325 comprising a depression1327, such as a pair of projections on lateral sides of cannula sterileadaptor 1320. According to an exemplary embodiment, second portion 1326may be connected to projection 1325, such as, for example, overmoldingsecond portion 1326 to projection 1325.

According to an exemplary embodiment, second portion 526 of cannulasterile adaptor 520 may be made of a relatively compliant material. Therelatively compliant material may permit second portion 526 toelastically deform with relative ease while also providing a seal tomaintain a boundary between a sterile region and a non-sterile region.For example, second portion 526 may be the part of cannula sterileadaptor 520 that is connected to a surgical drape (not shown in FIG. 4),as described above with regard to FIG. 3, with a sterile region on theside of the drape facing cannula 500 and the non-sterile region on theside of the drape facing cannula mount 530. According to an exemplaryembodiment, second portion 526 may be made of a plastic materialovermolded onto first portion 524. Second portion 526 may be made of,for example, a thermoplastic elastomer (TPE), thermoplastic polyurethane(TPU), or other plastic material familiar to one of ordinary skill inthe art. According to an exemplary embodiment, second portion 526 ofcannula sterile adaptor 520 may include depressions 527 (as well ascorresponding protrusions 590), such as on opposite sides of secondportion 526 (as shown in the exemplary embodiment of FIG. 5), to assistwith mounting cannula 500 to cannula mount 530, as will be discussedbelow.

Cannula sterile adaptor 520 may include structures to facilitatedeformation of cannula sterile adaptor 520, such as when cannula 500 isinserted into and withdrawn from cannula sterile adaptor 520. Accordingto an exemplary embodiment, second portion 526 of cannula sterileadaptor 520 may include a bellows structure 528, as shown in FIG. 5, tofacilitate deformation of second portion 526. Second portion 526 ofcannula sterile adaptor 520 may include a relatively thin sidewall 523to permit deformation of second portion 526, in addition to or withoutbellows structures 528. Although bellows structure 528 and thin sidewall523 have been discussed in regard to cannula sterile adaptor 520 of theexemplary embodiment of FIG. 5, bellows structure 528 and/or thinsidewall 523 may be used in a cannula sterile adaptor that is made of asingle material instead of a first portion 524 and second portion 526,according to an exemplary embodiment.

As discussed above, cannula mount 530 may include features to engage acannula sterile adaptor. Turning to FIG. 5, cannula 500, cannula sterileadaptor 520, and cannula mount 530 are shown so as to reveal internalstructures. According to an exemplary embodiment, cannula mount 530 mayinclude one or more retention features 541 that engage withcomplementary retention features 525 of cannula sterile adaptor 520.Retention features 525 may be molded as one piece with first portion 524of cannula sterile adaptor 520, according to an exemplary embodiment, ormay be provided as a separate piece joined to first portion 524.Retention features 541 of cannula mount 530 may be arranged to moverelative to a body 536 of cannula mount 530, such as when cannulasterile adaptor 520 is mounted to cannula mount 530. For instance, aretention feature 541 may be biased into an engaged position, such asvia a spring 542. Thus, when cannula sterile adaptor 520 is mounted tocannula mount 530, a retention feature 525 of cannula sterile adaptor520 may engage a retention feature 541 of cannula mount 530, initiallycausing retention feature 541 and spring 542 to be depressed untilcomplementary retention features 525 and 541 are fully engaged. In thisfully engaged position, spring 542 biases retention feature 541 to theengaged position to mount cannula sterile adaptor 520 to cannula mount530. To disconnect cannula sterile adaptor 520, retention feature 541may be depressed against the biasing force of spring 542, such as bydepressing a release mechanism 540 of retention feature 541. As shown inFIG. 4, release mechanism 540 may be exposed on an exterior surface ofbody 536 of cannula mount 530. As shown in the exemplary embodiment ofFIG. 5, cannula sterile adaptor 520 and cannula mount 530 may eachinclude two pairs of corresponding retention features 525 and 541, withretention features 525 and 541 on opposing sides of cannula sterileadaptor 520 and cannula mount 530, although the various embodimentsdescribed herein contemplate other numbers of corresponding retentionfeature pairs 525 and 541, such as, for example, one, three, four, ormore numbers of pairs.

Cannula mount 530 may include various structures to mount cannula 500 ina secure and reliable manner that is also easy to use. As shown in FIG.5, cannula mount 530 may include a pair of clamping arms 550 to engagecannula 500. For example, when attachment portion 510 of cannula 500 isinserted into aperture 532 of cannula mount 530, tips 551 of clampingarms 550 may latch to depressions 512 of attachment portion 510 to mountcannula 500 to cannula mount 530. Further, if cannula sterile adaptor520 is mounted to cannula mount 530, attachment portion 510 may beinserted within aperture 522 of cannula sterile adaptor 520 and tips 551of clamping arms 550 may engage depressions 527 of cannula sterileadaptor 520 (or depressions 1327 of cannula sterile adaptor 1320 of theexemplary embodiment of FIG. 29). Because second portion 526 isrelatively compliant, a portion of cannula sterile adaptor 520, such aspart of second portion 526 (e.g., when section portion 526 formsdepressions 527), may in turn be compressed by clamping arms 550 intodepressions 512 of attachment portion 510 to mount cannula 500 tocannula mount 530.

Clamping arms 550 may be actuated to pivot about pins 552 to facilitatemounting and releasing cannula 500. According to an exemplaryembodiment, clamping arms 550 may be actuated by a moveable block 554that engages and moves clamping arms 550 into the closed (latched)position shown in FIG. 5. For example, block 554 may include a camsurface 556 that engages each of clamping arms 550, such as a camfollower surface 553 of clamping arms 550, causing clamping arms 550 topivot to the closed position shown in FIG. 5.

Moveable block 554 may include a device to bias moveable block 554 intoa closed (i.e., locked) position, such as the position shown in FIG. 5,to securely latch cannula 500 to cannula mount 530 with clamping arms550. According to an exemplary embodiment, a spring 560 may biasmoveable block 554 in the position shown in FIG. 5. Spring 560 may beconnected between a mounting block 562 and moveable block 554, althoughthe various embodiments described herein are not limited to thisstructure and spring 560 may be instead connected between body 536 ofcannula mount 530 and moveable block 554. According to an exemplaryembodiment, cannula mount 530 may include a sensor to detect theposition of moveable block 554 to infer whether spring 560 has beendepressed and whether clamping arms 550 are in a locked or releasedposition. The sensor, for example, may be a switch that moveable block554 contacts as moveable block 554 is actuated back and forth to actuateclamping arms 550. Output from the sensor may be transmitted to acontroller of a surgical system to provide feedback, for example,whether clamping arms 550 are in a locked or released position.

Spring 560 may be a coil spring or other type of spring familiar to oneof ordinary skill in the art, according to an exemplary embodiment.Although spring 560 may be a single spring, spring 560 may insteadinclude a plurality of springs. For instance, because the force exertedby a spring varies in proportion to the distance the spring is deformedfrom its equilibrium length, spring 560 may include a plurality ofsprings of different types (e.g., different spring constants) to providea high and substantially constant force over the distance spring 560 isdeformed. Turning to FIG. 6, an exemplary embodiment of a nested spring600 is shown that may be used for spring 560. Nested spring 600 includesa first spring 610 located within a second spring 620. Nested spring 600may be connected to a mounting block 602, such as mounting block 562 ofFIG. 5, or may be mounted to a body 536 of cannula mount 530. First andsecond springs 610 and 620 may differ in material and/or geometry toprovide different spring constants so that overall nested spring 600provides a relatively high and substantially constant force over thedistance nested spring 600 is deformed, such as when nested spring 600is compressed.

Cannula mount 530 may include a mechanism for a user to actuate acannula latch assembly including moveable block 554 and clamping arms550. As shown in FIG. 4, cannula mount 530 may include a handle 534 toactuate moveable block 554. According to an exemplary embodiment, asingle handle 534 may be provided to facilitate mounting and releasingof a cannula. According to an exemplary embodiment, handle 534 may beprovided as a single mechanism for a user to use to actuate moveableblock 554 and thus both of clamping arms 550. Handle 534 may enable auser to actuate the moveable block 554, and thus clamping arms 550 withone hand, thus enabling the user to manipulate cannula 500 with a secondhand.

Handle 534 may actuate moveable block 554 via a connection betweenhandle 534 and moveable block 554. Turning to FIG. 7, which shows across-sectional view of cannula 500, cannula sterile adaptor 520, andcannula mount 530 from the side. As shown in FIG. 7, handle 534 may beconnected to moveable block 554 via a link 535, according to anexemplary embodiment. When handle 534 is depressed in the directionindicated by arrow 537 in FIG. 7, link 535 and moveable block 554 aremoved along direction 539 in FIG. 7. As will be discussed below, whenmoveable block 554 is moved along direction 539, clamping arms 550 aremoved to an open position to permit cannula 550 to be mounted orreleased.

According to an exemplary embodiment, link 535 may connect handle 534 tomoveable block 554 such that when handle 534 is depressed in direction537 in FIG. 7, link 535 will begin to align with a long axis 555 ofmoveable block 554 as link 535 moves in direction 539 and a portion 533of link 535 connected to handle 534 moves downward along direction 531.As a result, when handle 534 is initially moved along direction 537 inFIG. 7, a force needed to actuate handle 534 initially increases withthe increasing spring force but subsequently decreases, such as whensubstantial alignment occurs between link 535 and long axis 555 ofmoveable block 554 and the angle between handle 534 and link 535decreases. As a result, once handle 534 is fully depressed, the handle534 may remain in the fully depressed position because a reduced amountof force is required to do so, which in turn may permit a user to focuson inserting and aligning cannula 500 within cannula mount 530, orremoving cannula 500 from cannula mount 530.

The use of cannula mount 530 to mount cannula 500 will now be describedwith reference to FIGS. 8-11. Turning to FIG. 8, the exemplaryembodiment of FIGS. 5, 7, and 8 is shown with handle 534 being depressedalong direction 537 to actuate the latching assembly of cannula mount530. As shown in FIG. 9, actuating handle 534 causes moveable block 554to be retracted along direction 539, as described above with referenceto FIG. 7. When moveable block 554 is retracted along direction 539,spring 560 is compressed and cam surface 556 of moveable block 554disengages from cam follower surfaces 553 of clamping arms 550. Becausespring 560 is no longer biasing cam surface 556 of moveable block 554into engagement with cam follower surfaces 553, clamping arms 550 arefree to pivot to the open position shown in FIG. 9. In the open positionshown in FIG. 9, tips 551 of clamping arms 550 are not engaged withcannula sterile adaptor 520, such as, for example, depressions 527 or1327 of cannula sterile adaptor 520.

With clamping arms 550 in the open position shown in FIG. 9, attachmentportion 510 of cannula 500 may be inserted into aperture 522 of cannulasterile adaptor 520, which is already mounted to cannula mount 530.Because cannula 500 may already be inserted into a patient's body, thefollowing movements described for mounting cannula 500 to cannula mount530, including inserting attachment portion 510 into cannula sterileadaptor 520, may be accomplished by moving the manipulator arm thatincludes cannula mount 530 relative to a substantially stationarycannula 500. For example, attachment portion 510 may be inserted intocannula sterile adaptor 520 by moving the manipulator arm includingcannula mount 530 along direction 538 shown in FIG. 9.

When inserting attachment portion 510 into aperture 522 of cannulasterile adaptor 520, movement of cannula 500 may be constrained. Asshown in the exemplary embodiment of FIG. 26, a cannula 1100 may beinserted in a body wall 1140 of a patient. Cannula 1100, cannula sterileadaptor 1120, and cannula mount 1130 may each be arranged according tothe exemplary embodiment of FIGS. 5 and 7-11. The insertion of cannula1100 in body wall 1140 results in constraining movement of cannula 1100to only pivot about remote center of motion 1142, such as in directions1144 in FIG. 26. To accommodate the pivoting motion when mountingcannula 1100 to cannula sterile adaptor 1120 and cannula mount 1130, thegeometry of a proximal surface 1111 and a distal surface 1113 of cannulaattachment portion 1110 may be optimized. The geometry of an innersurface 1121 of cannula sterile adaptor may also be optimized. Accordingto an exemplary embodiment, surfaces 1111, 1113 and 1121 may be curved,such as, for example, at a radius of curvature smaller than a distancefrom surfaces 1111 and 1121 to remote center 1142. Surfaces 1111, 1113and 1121 may have other shapes than a curved shape, such as, forexample, straight, linear shapes. According to an exemplary embodiment,surfaces 1111, 1113, and 1121 provide two pairs of generally oppositelydisposed tapering surfaces, the surfaces of each pair facing away fromeach other. By shaping surfaces 1111, 1113 and 1121 in this way,insertion and withdrawal of attachment portion 1110 into and out ofaperture 1122 of cannula sterile adaptor 1120 is facilitated.

The geometry of a cannula attachment portion may also be configured inview of forces applied to the cannula. Turning to FIG. 27, an exemplaryembodiment of a cannula 1200 is shown in a mounted state with a cannulasterile adaptor 1220. A force 1240, such as, for example, a body wallforce, may be applied to cannula, resulting in a torque 1242 uponcannula 1200. Turning to FIG. 28, which is an enlarged view of area ofFIG. 27, attachment portion 1210 may be configured to resist the torqueand minimize or prevent removal of cannula 1200 from cannula sterileadaptor 1220. As shown in the exemplary embodiment of FIG. 28, sidewalls 1212 of attachment portion 1210 may be tapered so that a normalforce 1250, applied between side walls 1212 and cannula sterile adaptor1220 to resist torque 1242, has a friction force component 1252 that issufficient to minimize or prevent torque 1242 from removing attachmentportion 1210 from cannula sterile adaptor 1220.

According to an exemplary embodiment, a cross-section of attachmentportion 1210 may be tapered, such as along a radial direction withrespect to a longitudinal axis of cannula 1200, as depicted in FIGS. 27and 28, to provide attachment portion 1210 with a wedge shape. Forexample, side wall 1212 may taper at an angle 1254 relative to alongitudinal centerline 1214 of attachment portion 1210. Angle 1254 mayrange from, for example, about 8 degrees to about 12 degrees, accordingto an exemplary embodiment. According to an exemplary embodiment,multiple surfaces of attachment portion 1210 may taper. As depicted inFIG. 26, surfaces 1111 and 1113 may taper. Each of surfaces 1111 and1113 may be substantially perpendicular to side walls 1212, according toan exemplary embodiment. Thus, attachment portion 1210 may taper on foursides. According to an exemplary embodiment, the side walls ofattachment portion 1210 provide attachment portion with a generallysquare frustum shape. The taper of side walls 1212 and surfaces 1111,1113 may facilitate removal of attachment portion 1210 from cannulasterile adaptor 1220 when a user actuates a cannula mount (not shown) torelease cannula 1200. For instance, the taper can facilitate slidingattachment portion 1210 out of cannula sterile adaptor 1220.

Turning back to FIG. 9, attachment portion 510 may have a shapecorresponding to the shape of aperture 522, so that attachment portion510 may only fit into aperture 522 and an interior 529 of cannulasterile adaptor 520 in a particular orientation, according to anexemplary embodiment. Thus, the proper alignment of attachment portion510 within aperture 522 is facilitated during mounting of cannula 500and a user installing cannula 500 will understand that cannula 500 isproperly oriented and aligned for mounting once attachment portion 510has been received within aperture 522. According to an exemplaryembodiment, once the attachment portion 510 has been received withinaperture 522, cannula 500 may move in only one degree of freedomrelative to cannula mount 530, such as to pivot around a line that isperpendicular to the plane of cross-section in FIG. 7. A user may usethis behavior to reach the final latching position more easily, becauseat this point there is only one remaining degree of freedom to reach thelatching position. For instance, the remaining degree of freedom is arotational degree of freedom about the line that is perpendicular to theplane of cross-section in FIG. 7. Once cannula 500 has been maneuveredby pivoting attachment portion 510 into aperture 522, a user can finetune the position of the attachment portion 510 within aperture along adirection of insertion into aperture 522 (such as by moving amanipulator arm mount 530 is connected to) until a final alignmentbetween attachment portion 510 and cannula sterile adaptor 520 isachieved. Accomplishing the final alignment is facilitated because thecannula is constrained in all other degrees of freedom, thus if the userguides the manipulator arm in the approximate correct direction, theassembly may come into better alignment.

As attachment portion 510 is inserted into cannula sterile adaptor 520in FIG. 9, attachment portion 510 may engage second portion 526 ofcannula sterile adaptor 520. However, because second portion 526 may bemade of a compliant material, attachment portion 510 may deform secondportion 526 to spread apart and permit attachment portion 510 to beeasily and fully inserted into interior 529 of cannula sterile adaptor520. Once attachment portion 510 has been fully inserted into interior529 of cannula sterile adaptor 520, protrusions 590 of cannula sterileadaptor 520 (or depressions 1327 of cannula sterile adaptor 1320 of FIG.29) may nest with depressions 512 of attachment portion 510, as shown inFIG. 11. According to an exemplary embodiment, while cannula 500 isbeing inserted into cannula sterile adaptor 520 and cannula mount 530,handle 534 may remain in the fully depressed position shown in FIG. 8without requiring a user to hold handle 534 down, due to tips 551 ofclamping arms 550 and protrusions 590 of cannula sterile adaptor 520being unable to enter depressions 512 in attachment portion 510. Thus, auser may be free to focus on properly aligning cannula 500 with cannulasterile adaptor 520 and cannula mount 530 to insert attachment portion510 within cannula sterile adaptor 520 and cannula mount 530.

Once alignment between attachment portion 510 and cannula sterileadaptor 520 has been accomplished and attachment portion 510 has beenfully inserted within cannula sterile adaptor 520, such as in theexample of FIG. 11, handle 534 may be released. A force applied byspring 560 biases handle 534 along direction 543 once handle begins tomove. When handle 534 is moved along direction 543 in FIG. 11, moveableblock 554 (which can be connected to handle 534 via link 535, as shownin FIG. 7) moves along direction 565 shown in FIG. 11. As a result,spring 560 is no longer constrained and is free to bias moveable block554 along direction 565. As moveable block 554 moves along direction565, cam surface 556 of moveable block 554 engages cam follower surfaces553 of clamping arms 550, forcing clamping arms 550 into the closedposition shown in FIG. 11 and locking clamping arms 550 in place (e.g.,in a closed position). According to an exemplary embodiment, clampingarms 550 and moveable block 554 are not directly connected or directlycoupled to one another but instead may engage one another to provide aclamping force to mount a cannula, as discussed above. According toanother exemplary embodiment, should lever 534 be released beforeattachment portion 510 has been fully inserted within cannula sterileadaptor 520, tips 551 of levers 550 may be able to engage depressions527 of cannula sterile adaptor 520, and protrusions 590 with depressions512 of attachment portion 510, to draw cannula 500 into cannula mount530 to complete full insertion of cannula 500 into cannula sterileadaptor 520 and cannula mount 530.

According to an exemplary embodiment, clamping arms 550 and moveableblock 554 may be structured to clamp and mount cannulas over a range ofmotion of clamping arms 550 and block 554. As a result, clamping arms550 and moveable block 554 provide a large amount of flexibility inaccommodating cannulas of different sizes. For instance, a cannulamanufacturing process may inherently produce cannulas that vary in size,such as within various manufacturing tolerances. If clamping arms 550were actuated to close by moving a fixed, predetermined distance, suchas by moving a fixed distance until a portion of the clamping armengages a stop or a mechanism actuating the clamping arm engages a stop,the amount of force clamping arms 550 applied to a cannula would varyupon the size of the cannula. Thus, if a cannula size were on the highside of the manufacturing tolerance, the clamping arms might apply arelatively high clamping force, and if a cannula size were on the lowside of the manufacturing tolerance, the clamping arms might apply arelatively low clamping force. The former scenario could result indamage to the cannula and/or mounting device, while the latter scenariocould result in the cannula becoming loose within the grip of theclamping arms.

Turning back to FIG. 11, moveable block 554 may engage clamping arms 550(e.g., via engaging cam follower surfaces 553 of clamping arms 550, asdescribed above) when moveable block 554 is moved, such as alongdirection 565 due to the force applied by spring 560. As moveable block554 forces clamping arms 550 to pivot about pins 552, clamping arms 550may engage a cannula, such as attachment portion 510, as describedabove, and apply a clamping force to mount the cannula to cannula mount530. If the cannula has a size on a high side of a manufacturingtolerance, the clamping arms 550 may pivot a smaller distance beforeengaging the cannula, in comparison to a situation in which a cannulahas a size on a low side of a manufacturing tolerance. In either case,moveable block 554 applies a force to clamping arms 550 (e.g., via camsurface 556 and cam follower surfaces 553) to place clamping arms 550 ina closed position, engage a cannula, and apply a clamping force to mountthe cannula, whether the clamping arms 550 pivot a relatively smallerdistance or a relatively larger distance. Thus, clamping arms 550 mayengage and clamp a cannula over various distances clamping arms 550pivot, which permits clamping arms 550 to accommodate cannulas ofvarious sizes and mount each cannula with a strong clamping force,despite variations in cannula size, such as within a manufacturingtolerance.

Further, because clamping arms 550 may engage and clamp a cannula overthe range of motion the clamping arms 550 pivot, clamping arms 550 mayaccommodate forces applied to a cannula and substantially maintainclamping and mounting of the cannula. For instance, a cannula mounted tocannula mount 530 may experience various high forces applied to thecannula, such as when cannula 500 is bumped or a bodywall force istransmitted to cannula 500 when mounted to cannula mount 530. Ifclamping arms 550 clamped and mounted the cannula by moving a fixed,predetermined distance, the force could loosen the grip clamping arms550 had upon the cannula and clamping arms 550 would not adjust tore-establish a clamp force upon the cannula. However, because clampingarms 550 may engage and clamp a cannula over various distances, once theforce applied to the cannula has subsided, the clamping force ofclamping arms 550 (e.g., the force applied to clamping arms 550 viamoveable block 554 and spring 560) cause clamping arms 550 to re-apply aclamping force to the cannula.

When clamping arms 550 are in the closed position, tips 551 of clampingarms 550 may engage depressions 512 of attachment portion 510 tosecurely latch cannula 500 to cannula mount 530. The biasing force ofspring 560 on moveable block 554, for example, may provide a strongclamping force of clamping arms 550 on attachment portion 510 (as wellas cannula sterile adaptor 520 when adaptor 520 also has been mounted,as shown in FIG. 11) when clamping arms 550 are in the closed position.As a result, cannula 500 may be securely mounted to cannula mount 530and resist releasing under a load, such as when cannula 500 is subjectedto a body wall force while inserted into a patient during a surgicalprocedure. Further, the latching assembly of cannula mount 530 (e.g.,clamping arms 550, moveable block 554, and spring 560) facilitates auser to easily determine when cannula has been properly aligned andlatched, which can minimize or prevent a user from trying to physicallyforce cannula 500 into cannula mount 530, which in turn could damagecannula 500 and/or cannula mount 530.

The various embodiments of this disclosure are not limited to theexemplary embodiments described above in regard to FIGS. 5-11 and mayinstead include various other arrangements for mounting a cannula to acannula mount of a manipulator arm of a patient side cart. Turning toFIG. 12, a cannula 700, cannula sterile adaptor 720, and cannula mount730 of a patient side cart are shown, according to another exemplaryembodiment. Cannula mount 730 may be, for example, cannula mount 124provided on one of manipulator arms 110-113 of patient side cart 100 ofFIG. 1. Cannula 700 may include a bowl section 702, proximal end 704,tube 706, and attachment portion 710, similar to cannula 300 in theexemplary embodiment of FIG. 2. According to an exemplary embodiment,attachment portion 710 may include a depression 712 to assist withmounting cannula 700 to cannula mount 730, as will be discussed below.Attachment portion 710 may include a single depression 712, such as onone side of attachment portion 710, as shown in the exemplary embodimentof FIG. 12, although attachment portion 710 is not limited to a singledepression 712 and instead include a plurality of depressions 712, suchas when cannula mount 730 includes a plurality of clamping arms 750,which will be discussed below. According to an exemplary embodiment,attachment portion 710 may include a metal member 714 to facilitatemounting of cannula 700 to cannula mount 730, as will be discussedbelow. Metal member 714 may be, for example, a ferrous metal member.According to an exemplary embodiment, metal member 714 may be made of amagnetic steel alloy, such as a magnetic grade of stainless steel (e.g.,17-4 PH stainless steel).

Cannula sterile adaptor 720 may include an aperture 722 sized and shapedto receive attachment portion 710 of cannula 700. As discussed above inregard to the exemplary embodiment of FIG. 3, cannula sterile adaptor720 may be attached to a surgical drape (not shown in FIG. 12) tofacilitate forming a boundary between a sterile region (e.g., wherecannula 700 is located) and a non-sterile region (e.g., where cannulamount 730 is located). Although cannula sterile adaptor 720 is depictedin the exemplary embodiment of FIG. 12 as being made of a single piece,cannula sterile adaptor 720 may include different portions withdifferent properties to facilitate mounting of the cannula sterileadaptor 720 and/or cannula 700 to cannula mount 730. For example,cannula sterile adaptor 720 may include a first portion and a secondportion, as discussed above with regard to the exemplary embodiment ofFIGS. 4, 5, and 7-11.

Cannula sterile adaptor 720 may include structures to mount cannulasterile adaptor 720 to cannula mount 730. According to an exemplaryembodiment, cannula sterile adaptor 720 may include one or moreretention features 725 to engage with one or more complementaryretention features 738 of cannula mount 730 for mounting cannula sterileadaptor 720 to cannula mount 730. As shown in the exemplary embodimentof FIG. 12, cannula sterile adaptor 720 and cannula mount 730 may eachinclude a plurality of retention features, such as a pair of retentionfeatures 725 and 738 on respective opposing sides of cannula sterileadaptor 720 and cannula mount 730. Retention features 725 and 738 may berespectively molded as one piece with cannula sterile adaptor 520 and abody 736 of cannula mount 730, according to an exemplary embodiment, ormay be provided as separate pieces respectively joined to cannulasterile adaptor 720 and body 736. Retention features 725 and 738 may beconfigured to disengage with one another, such as via at least one ofretention features 725 and 738 moving relative to cannula sterileadaptor 720 or cannula mount 730. According to an exemplary embodiment,retention feature 738 may be arranged to move relative to body 736, suchas, for example, against a force applied by a biasing spring, asdiscussed above with regard to FIG. 5.

Cannula mount 730 may include structures to mount cannula 700 in asecure and reliable manner that is also easy to use. According to anexemplary embodiment, cannula mount 730 may include a moveable block 740arranged to move within a housing body 736 along directions 741indicated in FIG. 12. Moveable block 740 may include a magnet 742.Magnet 742, for example, can be a permanent magnet made of an alloyfamiliar to one of ordinary skill in the art. For example, magnet 742may be a neodymium magnet or other permanent magnet familiar to one ofordinary skill in the art. Magnet 742 may be used to facilitate mountingof cannula 700 to cannula mount 730, as will be discussed below.

Cannula mount 730 may further include a clamping arm 750 to engage withcannula 700, as well as cannula sterile adaptor 720 when cannula sterileadaptor 720 has been mounted to cannula mount 730. As shown in theexemplary embodiment of FIG. 12, clamping arm 750 may be a singleclamping arm to simplify the construction and cost of cannula mount 730,although cannula mount 730 may include a plurality of clamping arms 750,including a second opposing clamping arm having a mirror-imageconstruction of clamping arm 750, instead of the single clamping arm 750shown in FIG. 12. Clamping arm 750 may be arranged to pivot about pin752 between an open and closed position, with clamping arm 750 beingbiased to a closed position by a biasing device.

Turning to FIG. 13, a plan view of a portion of the mount 750 of FIG. 12is shown to further illustrate internal components of cannula mount 730.In FIG. 13, clamping arm 750 is depicted in a closed position, with tip754 of clamping arm engaging cannula sterile adaptor 720. According toan exemplary embodiment, tip 754 may be inserted into a depression 724of cannula sterile adaptor 720 to facilitate mounting of cannula sterileadaptor 720 to cannula mount 730. A biasing device to bias clamping arm750 to the closed position shown in FIG. 13 may be, for example, aspring 760 or other type of biasing device familiar to one of ordinaryskill in the art. Spring 760 may be, for example, a coil spring. Spring760 may be connected between body 736 of cannula mount 730 and clampingarm 750, such as between a pin 762 connected to body 736 and a pin 764connected to clamping arm 750. In this way, spring 760 may bias clampingarm 750 to pivot about pin 752 into the closed position shown in FIG.13. Although spring 760 appears to be located between moveable block 740and cannula sterile adaptor 720 in FIG. 13, spring 760 may be located,for example, vertically below moveable block 740 into the page of FIG.13 so spring 760 does not interfere with the function of moveable block740 to facilitate mounting of cannula 700, as will be discussed below.

The mounting of cannula 700 to cannula mount 730 will now be discussedwith reference to FIGS. 14-16. FIG. 14 is a plan view showing cannulasterile adaptor 720 in a mounted state within cannula mount 730, andshowing cannula 700 as attachment portion 710 is being inserted intocannula sterile adaptor 720 and cannula mount 730 (e.g., into aperture722 of cannula sterile adaptor 720 and aperture 732 of cannula mount 730shown in FIG. 12). Thus, FIG. 14 depicts an initial stage of mountingcannula 700 to cannula mount 730. In the initial mounting stage shown inFIG. 14, clamping arm 750 is biased to a closed position, such as byspring 760, and moveable block 740 is biased to the unlatched positionshown in FIG. 14 by a biasing device. Moveable block 740 may be biasedto the position shown in FIG. 14 by, for example, a spring 744 or otherbiasing device connected between moveable block 740 and body 736 ofcannula mount 730. For example, a first end 745 of spring 744 may beconnected to moveable block 740 and a second end 747 of spring 744 maybe connected to body 736. Because moveable block 740 can be biased tothe unlatched position shown in FIG. 14, any magnetic attraction betweenmagnet 742 and metal member 714 of attachment portion may be too weakover the distances between magnet 742 and metal member 714 in FIG. 14 toovercome the force applied by the biasing device of moveable block(e.g., spring 744). Thus, moveable block 740 and magnet 742 remain inthe unlatched position shown in FIG. 14.

Turning to FIG. 15, the cannula 700 of FIG. 14 has been inserted alongdirection 701 in FIG. 15 so attachment portion 710 is further insertedinto cannula sterile adaptor 720 and cannula mount 730. As cannula 700is inserted along direction 701, attachment portion 710 engages theportion of cannula sterile adaptor 720 forming depression 724. Accordingto an exemplary embodiment, the portion of cannula sterile adaptor 720forming depression 724 may be flexible (portions of adaptor 720surrounding depression 724 may be flexible as well), such as, forexample, second portion 526 discussed above with regard to the exemplaryembodiment of FIGS. 4, 5, and 7-11. Thus, attachment portion 710 maydeform the portion of cannula sterile adaptor 720 forming depression 724as attachment portion 710 is inserted. Further, as attachment portion710 of cannula 700 is inserted, attachment portion 710 may apply a forceto tip 754 of clamping arm 750, such as when portion of cannula sterileadaptor 720 forming depression 724 is deformed, causing clamping arm 750to be opened from its closed position. For example, clamping arm 750 maypivot about pin 752 in direction 753 to an open position shown in FIG.15. Thus, a user may open clamping arm 750 simply by insertingattachment portion 710 to force clamping arm 750 open

As cannula 700 is inserted to the position shown in FIG. 15, a magneticattraction force between magnet 742 and metal member 714 increases. Whenattachment portion 710 and metal member 714 are within close enoughproximity to each other, as shown in FIG. 15, the attractive force isstrong enough to overcome the biasing force applied to moveable block740 by the biasing device (e.g., spring 744), causing moveable block 740and magnet 742 to move forward along direction 743 in FIG. 15. As thisoccurs, a cam surface 746 of moveable block 740 may engage with a camsurface of clamping arm 750, such as a first cam follower surface 755 ofclamping arm 750, causing movement of moveable block 740 and magnet 742to cease when the cam surface 746 and cam follower surface 755 engage.Thus, clamping arm 750 and attachment member 710 are not latched to oneanother and cannula 700 is not yet in a mounted state to cannula mount730.

Turning to FIG. 16, cannula 700 is depicted in a fully inserted positionin cannula sterile adaptor 720 and cannula mount 730 along direction701. In the fully inserted position, the portion of cannula sterileadaptor 720 forming depression 724 may nest within depression 712 ofattachment portion 710. When attachment portion 710 has been inserted asufficient amount along direction 701 to permit tip 754 of clamping arm750 to enter depression 712 (as well as depression 724 of cannulasterile adaptor 720), clamping arm 750 may be free to pivot about pin752 along direction 757 in FIG. 16.

Further, as attachment portion 710 approaches the position shown in FIG.16, the force of the magnetic attraction between magnet 742 and metalmember 714 increases even further. According to an exemplary embodiment,when clamping arm 750 pivots along direction 757, moveable block 740 andmagnet 742 advance along direction 743 in FIG. 16 until magnet 742reaches the latched position shown in FIG. 16. Clamping arm 750 andmoveable block 740 may be mechanically timed so that clamping arm 750and moveable bock 740 move at substantially the same time to mountcannula 700 to cannula mount 730. Thus, the pivoting of clamping arm 750in direction 757 to engage attachment portion 710 and the movement ofmoveable block 740 and magnet 742 may move at substantially the sametime, according to an exemplary embodiment.

When moveable block 740 and magnet 742 reach the latched position shownin FIG. 16, cam surface 746 of moveable block 740 may engage a camfollower surface of clamping arm 750. Although cam surface 746 mayengage first cam follower surface 755 of clamping arm 750 to apply aclamping force to cannula 700, clamping arm 750 may include other camfollower surfaces to engage with moveable block 740. For example, whenclamping arm 750 pivots along direction 757, cam surface 746 of moveableblock 740 may disengage with first cam follower surface 755 and engage asecond cam follower surface 759 of clamping arm 750. According to anexemplary embodiment, second cam follower surface 759 may have a smallerslope (e.g., smaller angle relative to cam surface 746) than first camfollower surface 755 so that second cam follower surface 759 engages camsurface 746 of moveable block 740 to a higher degree than first camfollower surface 755, creating a significant latch force between camfollower surfaces 755 and 759 to hold clamping arm 750 in position andsecurely mount cannula 700 to cannula mount 730. Cam surface 746 may beconfigured to engage second cam follower surface 759 so a clamping forceis provided to clamping arm 750 when tip 754 is positioned to beinserted within depressions 724 and 712, according to an exemplaryembodiment. Due to the engagement between cam surfaces of moveable block740 and clamping arm 750 (e.g. between cam surface 746 and first camfollower surface 755 or second cam follower surface 759), clamping arm750 may clamp and mount a cannula over a range of movements (e.g.,including a maximum travel distance for moveable block 740), whichpermits clamping arm 750 to accommodate cannulas of various sizes.

According to an exemplary embodiment, in the latched position, moveableblock 740 may be engaged with (e.g., in contact with) an object thatforms a hard stop to stop movement of moveable block 740, such as, forexample, a portion of cannula mount body 736 that forms a hard stop.According to an exemplary embodiment, in the latched position, magnet742 may be attracted to metal member 714 but prevented from contactingthe metal member 714. According to an exemplary embodiment, magnet 742may be prevented from contacting cannula sterile adaptor 720. Forexample, tip 754 of clamping arm 750 may engage a cannula (or engagecannula through a cannula sterile adaptor), causing second cam followersurface 759 of clamping arm 750 to engage cam surface 745 of moveableblock 740, which may in turn cause moveable block 740 and magnet 742 tostop moving before magnet 742 an object that would otherwise stopmovement of block 740 and magnet 742.

To release cannula 700 from cannula mount 730, a user may pull back thecam block 740, thus freeing the clamping arm 750 to pivot about pin 752to the open position of FIG. 15 and then pull cannula 700 out of cannulamount 730 with a sufficient force to open the levers 750 to allow thecannula to be removed. According to an exemplary embodiment, cannulamount 730 may further include a release mechanism (not shown) to forcemoveable member 740 in a direction opposite to direction 743 in FIG. 15to force magnet 742 and metal member 714 apart and facilitate removal ofcannula 700 from cannula mount 730. For example, a release mechanism maybe a member that is depressed downward between magnet 742 and metalmember 714 to force moveable block 740 in a direction opposite todirection 743 in FIG. 16 until the magnetic attraction between magnet742 and metal member 714 is overcome, permitting spring 744 to biasmoveable block 740 to the position shown in FIG. 14.

According to an exemplary embodiment, magnet 742 may be selected toprovide a magnetic force to facilitate insertion of cannula 700 withincannula mount 730 once attachment portion 710 has been inserted asufficient distance. For example, once attachment portion 710 has beeninserted to the position shown in FIG. 15, or a position between thepositions of FIG. 15 and FIG. 16, the attractive magnetic force betweenmagnet 742 and metal member 714 may be sufficient by itself to drawattachment portion 710 further into cannula mount 730 and to theposition shown in FIG. 16, permitting clamping arm 750 and magnet 742 tolatch to attachment portion 710 and mount cannula 700 to cannula mount730. As a result, a final stage of inserting cannula 700 into cannulamount 730 and latching cannula 700 to cannula mount 730 may be madesubstantially automatic once cannula 700 has been inserted a sufficientdistance for magnet 742 to draw cannula 700 into cannula mount 730,resulting in arm 750 clamping cannula 700 (e.g., due to a force appliedby moveable block 740, via cam surface 746 and cam follower surface 755or 759).

Features of the exemplary embodiment of FIGS. 12-16 may be used incombination with the features of various embodiments described herein.For example, the exemplary embodiment of FIGS. 4, 5, and 7-11 mayinclude magnet (e.g., magnet 742), such as, for example, in moveableblock 554. Further, the exemplary embodiment of FIGS. 12-16 may be usedin combination with the features of various embodiments describedherein. For example, cannula mount 730 may include two clamping armsinstead of a single clamping arm 750.

Turning to FIG. 17, another exemplary embodiment of a system formounting a cannula to a cannula mount of a manipulator arm of a patientside cart is depicted. In the exemplary embodiment of FIG. 17, a cannula800 may be mounted to a cannula mount 830 by inserting cannula 800 alongdirection 801 between clamping arms 850 of cannula mount 830. Cannulamount 830 may be, for example, cannula mount 124 provided on one ofmanipulator arms 110-113 of patient side cart 100 of FIG. 1. Cannula 800may include a bowl section 802 and a tube 806. Further, as shown inFIGS. 17 and 18, cannula 800 may include depressions 810 to receiveclamping arms 850. Depressions 810 may have shapes corresponding to theshapes of clamping arms 850 to facilitate depressions 810 receivingclamping arms 850 when clamping arms 850 clamp cannula 800 to mountcannula 800 to cannula mount 830. Thus, clamping arms 850 may mountcannula 800 without cannula mount 830 (or a cannula sterile adaptor, notshown) including an aperture to receive a portion of cannula 800inserted into cannula mount 830 (or inserted into the cannula sterileadaptor). Cannula 800 may further include a metal member 812, as shownin FIG. 18.

Although the exemplary embodiment of FIG. 17 does not depict a cannulasterile adaptor (which has been omitted for ease of viewing), theexemplary embodiment of FIG. 17 may include a cannula sterile adaptor,which may be positioned between cannula 800 and cannula mount 830. Asdiscussed above in regard to the exemplary embodiment of FIG. 3, thecannula sterile adaptor may be attached to a surgical drape (not shownin FIG. 17) to facilitate forming a boundary between a sterile region(e.g., where cannula 800 is located) and a non-sterile region (e.g.,where cannula mount 830 is located). Further the cannula sterile adaptormay be made of a single piece or different parts with differentproperties, as discussed above with regard to the exemplary embodimentof FIGS. 4, 5, and 7-11.

Cannula mount 830 may include a device to bias clamping arms 850 to apredetermined position. Turning to FIG. 19, which depicts cannula 800and cannula mount 830 with an interior of cannula mount 830 partiallyexposed and only one clamping arm 850 shown for ease of illustration,cannula mount 830 may include a spring 860 or other biasing device. Eachclamping arm 850 may be structured to pivot about a pin 852, such as indirections 853. Spring 860 may be connected to clamping arm 850 to applya force along direction 862 to pivot clamping arm 850 along directions853 to a closed position in which clamping arms 850 may apply a clampingforce and mount cannula 800 to cannula mount 830. As shown in FIG. 19,cannula 800 may be mounted to cannula mount 830 by inserting cannula 800into cannula mount 830 along direction 801 between clamping arms 850(e.g., by moving a manipulator arm including cannula mount 830 socannula 800 is inserted into cannula mount 830), causing clamping arm850 to be opened (causing the pair of clamping arms, not shown in FIG.19, to be forced apart) along direction 803 (e.g., by pivoting clampingarm 850 about pin 852) against the force applied by spring 860. Inanother example, clamping arms 850 of cannula mount 830 may be opened bydepressing a release button 840, which will be described in furtherdetail below, to permit insertion of cannula 800 along direction 801.

As described above, cannula 800 may include a metal member 812.According to an exemplary embodiment, cannula mount 830 may include amagnet that is attracted to metal member 812. Thus, when cannula 800 isinserted a sufficient distance between clamping arms 850, the magnet mayattract the metal member 812, which may assist in drawing cannula 800along direction 801 to a fully mounted position. The magnet may belocated on a moveable member within cannula mount 830 to permit themagnet to move toward the metal member 812 of cannula 800 as well.Turning to FIG. 20, cannula 800 and cannula mount 830 are shown, withinternal features of cannula mount 830 partially shown for ease ofviewing. As shown in FIG. 20, cannula mount 830 may include a moveableblock 870. According to an exemplary embodiment, moveable block 870 mayslide along a shaft 877, such as along direction 873 in FIG. 20.Moveable block 870 may be biased to a position away from cannula 800,such as by a spring 875 or other biasing device, until cannula 800 hasbeen inserted a sufficient distance to cause the magnetic force betweenmetal member 812 of cannula 800 and a magnet located within moveableblock 870 to overcome the biasing force of spring 875, causing moveableblock 870 to slide along shaft 877 toward cannula 800.

Moveable block 870 may include structures to actuate clamping arms 850as moveable block 870 moves and engages clamping arms 850. Turning toFIG. 21, a perspective view of moveable block 870 is shown, which mayinclude a magnet and an aperture 871 through which shaft 877 may extend.According to an exemplary embodiment, the magnet may be a horseshoemagnet 872, the ends of which are shown in FIG. 21. Moveable block 870may further include a clamping arm engaging surface 874 for eachclamping arm (e.g., on opposite sides of moveable block 870, as shown inFIG. 23, when cannula mount 830 includes a pair of clamping arms 850)and a release engaging surface 876. The partial exposed view of FIG. 20depicts interior features of an exemplary embodiment of moveable block870, including magnet 872, as well as a clamping arm engaging surface874 and a release engaging surface 876. Clamping arm engaging surfaces874 and release engaging surface 876 may be, for example, rollers, camsurfaces, or other types of engaging surfaces familiar to one ofordinary skill in the art.

Clamping arms 850 may include structures to engage with moveable block870 as moveable block 870 moves so that clamping arms 850 may beactuated by moveable block 870. Turning to FIG. 22, a perspective viewis shown of a clamping arm 850 for cannula mount 830, with clamping arm850 including a cam follower surface 854 to engage with moveable block870. For example, when moveable block 870 moves along direction 873 inFIG. 23 toward cannula 800, such as due to the magnetic attractionbetween metal member 812 of cannula 800 and magnet 872 of moveablemember 870, a clamping arm engaging surface 874 of moveable block 870may engage cam follower surface 854. When clamping arm engaging surface874 is a roller, the roller may roll along and press against camfollower surface 854 as moveable block 870 moves toward cannula 800,although clamping arm engaging surface 874 may also be a cam surfacethat slides against cam follower surface 854 of clamping arm 850.Although a single clamping arm 850 is shown in FIG. 23, moveable block870 may actuate a plurality of clamping arms, such as the pair ofclamping arms 850 shown in FIG. 17, which may be positioned on oppositesides of moveable block 870.

As clamping arm engaging surface 874 presses against cam followersurface 854, clamping arm 850 is actuated to pivot about pin 852, suchas in direction 853 in FIG. 23, to close clamping arm 850 upon cannula800 (e.g., by receiving clamping arm 850 within depression 810) so thatcannula 800 is clamped by clamping arm 850 and mounted, as shown in FIG.23, which depicts cannula 800 in a clamped and mounted position due toengagement between cam follower surface 854 of clamping arm 850 and aclamping arm engaging surface 874 of moveable block 870. According to anexemplary embodiment, engagement between cam follower surface 854 and aclamping arm engaging surface 874 may cause clamping arms 850 to closeto a greater extent to clamp cannula 800 than the biasing force providedby spring 860. Thus, the movement of moveable block 870 may actuateclamping arm 850 to clamp cannula 800 as moveable block 870 engagesclamping arm 850. Because moveable block 870 actuates clamping arms 850by engagement between clamping arm engaging surface 874 and cam followersurface 854, clamping arms 850 may clamp and mount cannula 800 over arange of motion of moveable block 870 and clamping arms 850 (e.g.,including a maximum travel distance of moveable block 870), whichpermits clamping arms 850 to accommodate cannulas 800 of various sizes.Further, because movement of moveable block 870 may occur once asufficient magnetic attraction occurs between metal member 812 andmagnet 872, the clamping of cannula 800 by clamping arms 850 may beautomated because the moveable block 870 will move towards metal member812, causing clamping arm engaging surfaces 874 and cam followersurfaces 854 to engage, which in turn actuates clamping arms 850 toclamp cannula 800.

Clamping arms 850 may have a single piece construction or may be made ofa plurality of parts joined to one another. According to an exemplaryembodiment, a clamping arm 850 may include a stiffening member 856 toreinforce the clamping arm 850. For example, if clamping arm 850 is madeof a polymer, stiffening member 856 may be made of, for example, ametal.

According to an exemplary embodiment, a cannula mount may include adevice to minimize or prevent unlocking of clamping arms from a cannulaonce the cannula has been mounted to the cannula mount. Turning to FIG.24, a side cross section view is shown of a cannula 900, which includesa metal member 912, mounted to a cannula mount 930. Cannula and cannulamount 930 may be configured according to the exemplary embodiment ofFIGS. 17-23. Cannula mount 930 may be, for example, cannula mount 124provided on one of manipulator arms 110-113 of the exemplary embodimentof FIG. 1. For instance, cannula mount 930 may include a spring 960 tobias a clamping arm (not shown in FIG. 24) to a closed position, arelease button 940, and a moveable block 970. Moveable block 970 mayinclude a magnet 972 and a release engaging surface 976, may slide alonga shaft 977, and may be biased to a position away from cannula 900 by aspring 975 as discussed above with regard to the exemplary embodiment ofFIGS. 17-23.

Moveable block 970 may further include a locking member 978. Whenmoveable block 970 has actuated clamping arms (not shown in FIG. 24) toclamp and mount cannula 900, locking member 978 may be positioned toengage a stop member 990 should moveable block 970 be permitted toreverse its movement along shaft 977 in direction 969 of FIG. 24, thusminimizing or preventing movement of moveable block 970 and unlocking ofthe clamping arms. Locking member 978 may be mounted to a pin 979connected to moveable block 970. Locking member 978 may pivot about pin979, although locking member 978 may be biased to the locked positionshown in FIG. 24 by a biasing device, such as a spring 980 or otherbiasing device. Locking member 978 may be released, for example, bydepressing release button 940 in direction 941. Depressing releasebutton 940 causing a tip 944 of release button 940 to engage lockingmember 978, which in turn pivots about pin 979 in direction 981 againstthe force applied by spring 980. When locking member 978 has pivoted indirection 981, locking member 878 will no longer engage stop member 990when moveable block 970 is moved along direction 969.

Release button 940 may also function to open clamping arms that mount acannula. As shown in FIG. 24, release button 940 may include a curvedsurface 942 that engages the release engaging surface 976 (which may be,for example, a roller or a cam follower surface) of moveable block 970.Because surface 942 is curved, as release button 940 is depressed indirection 941, release engaging surface 976 follows the curvature ofsurface 942 and is generally moved along direction 969 with the rest ofmoveable block 970. As a result, moveable block 970 may move alongdirection 969 and become disengaged from clamping arms (e.g., clampingarm engaging surfaces 874 in FIG. 21 disengage from cam followersurfaces 854 of clamping arms 850 in FIG. 22). Release button 840 of theexemplary embodiment of FIGS. 17-23 may function in a similar manner byengaging release engaging surface 876 of moveable block 870 when releasebutton 840 is depressed. Thus, release buttons 840, 940 may be a singlemechanism that actuates clamping arms 850 to an open position andrelease a cannula.

Turning to FIG. 25, another exemplary embodiment of a portion of acannula mount is schematically shown in an exploded view. The portion ofthe cannula mount depicted in FIG. 25 includes clamping arms 1050 thatmay pivot about pins 1052. Clamping arms 1050 may each be connected to aspring (not shown) to bias clamping arms 1050 to a closed (e.g.,clamping) position. The cannula mount may further include a moveableblock 1040 that includes cam surfaces 1044 configured to engage camfollower surfaces 1054 of clamping arms 1050, similar to the exemplaryembodiment of FIGS. 17-23. A spring 1042 may be connected to moveableblock 1040 to bias moveable block 1040 along directions 1048 towardspring 1042.

According to an exemplary embodiment, moveable block 1040 may include amagnet (not shown), such as in a distal portion 1041 of moveable block1040, similar to the exemplary embodiments of FIGS. 12-23 describedabove. Thus, when a cannula including a metal member (not shown) isinserted into the cannula mount, such as between clamping arms 1050, themagnet of moveable block 1040 may be attracted to the metal member ofthe cannula, resulting in moveable block 1040 moving along directions1048 towards the cannula (against the force applied by spring 1042) oncethe cannula has been inserted a sufficient distance between clampingarms 1050. As moveable block 1040 moves forward along directions 1048,cam surfaces 1044 of moveable block 1040 may engage cam followersurfaces 1054 of clamping arms 1050, causing clamping arms 1050 topivot, clamp upon the cannula, and mount the cannula, similar to theexemplary embodiment of FIGS. 12-23. Thus, the cannula mount partiallydepicted in the exemplary embodiment of FIG. 25 may clamp and mountcannulas over a range of motion of clamping arms 1050 and moveable block1040.

The cannula mount partially depicted in the exemplary embodiment of FIG.25 may include a mechanism to release a cannula. As shown in FIG. 25,the cannula mount may include a handle 1010 connected to a shaft 1020. Atorsion spring 1030 may be wound about first end 1022 of shaft 1020,with a first end 1032 of torsion spring 1030 being connected to handle1010 and a second end 1034 extending from shaft 1020, as shown in theexemplary embodiment of FIG. 25. Thus, when handle 1010 is actuated,such as by moving in direction 1012, shaft 1020 rotates along direction1036, which in turn causes torsion spring 1030 and second end 1034 torotate in direction 1036. Handle 1010, shaft 1020, and torsion spring1030 may be positioned (such as, for example by extending handle 1010through a hollow (not shown) in moveable block 1040) so that as secondend 1034 rotates along direction 1036, second end 1034 engages aprojection 1046 of moveable block 1040 and forces moveable block 1040rearward, permitting a user to release the cannula from between clampingarms 1050.

Although a single torsion spring 1030 is shown on first end 1022 ofshaft 1020 in the exemplary embodiment of FIG. 25, more than one torsionspring may be provided on shaft 1020. For example, a second torsionspring (not shown) may be provided on second end 1024 of shaft 1024 toengage a projection (similar to projection 1046) on the same side ofmoveable block 1040 as second end 1024. The second torsion spring may beconfigured similarly to torsion spring 1030 described above. Thus, whenhandle 1010 is actuated, each of the torsion springs would engagerespective projections 1046 to force moveable block 1040 in a rearwarddirection to facilitate release of a cannula from the cannula mount.

By providing a cannula mount according to the various exemplaryembodiments described herein, the mount may accommodate cannulas ofvarious sizes, such as cannulas that vary in size due to a manufacturingtolerance. Further, mounting a cannula to the mount is simple and fast,yet holds cannula securely. In addition, latching of a cannula to amount can be at least partially automated.

Further modifications and alternative embodiments will be apparent tothose of ordinary skill in the art in view of the disclosure herein. Forexample, the devices, systems, and methods may include additionalcomponents or steps that were omitted from the diagrams and descriptionfor clarity of operation. Accordingly, this description is to beconstrued as illustrative only and is for the purpose of teaching thoseskilled in the art the general manner of carrying out the presentdisclosure. It is to be understood that the various embodiments shownand described herein are to be taken as exemplary. Elements andmaterials, and arrangements of those elements and materials, may besubstituted for those illustrated and described herein, parts andprocesses may be reversed, and certain features of the present teachingsmay be utilized independently, all as would be apparent to one skilledin the art after having the benefit of the description herein. Changesmay be made in the elements described herein without departing from thescope of the present disclosure and following claims.

It is to be understood that the particular examples and embodiments setforth herein are non-limiting, and modifications to structure,dimensions, materials, and methodologies may be made without departingfrom the scope of the present disclosure.

Other embodiments in accordance with the present disclosure will beapparent to those skilled in the art from consideration of thespecification and practice of the invention disclosed herein. It isintended that the specification and examples be considered as exemplaryonly, with being entitled to their full breadth of scope, includingequivalents by the following claims.

What is claimed is:
 1. A cannula mount for a surgical system, thecannula mount comprising: a body including an aperture sized to receivea portion of a cannula; a pivotable clamping arm located within theaperture of the body, the clamping arm being configured to engage theportion of the cannula received in the aperture, the clamping armcomprising a cam follower surface; and a cam member moveable between afirst position and a second position, the cam member comprising a camsurface; wherein on the condition that the cam member is in the firstposition, the cam surface engages the cam follower surface of theclamping arm to actuate the clamping arm to a closed position in whichthe clamping arm engages the portion of the cannula received in theaperture; and wherein on the condition that the cam member is in thesecond position, the clamping arm is free to move to an open position inwhich the clamping arm does not engage the cannula.
 2. The cannula mountof claim 1, wherein the cannula mount comprises a pair of clamping armsactuatable by the cam member.
 3. The cannula mount of claim 1, wherein,when the cam member moves from the second position to the firstposition, the cam surface engages and slides against the cam followersurface of the clamping arm until the portion of the cannula is clampedby the clamping arm.
 4. The cannula mount of claim 1, wherein the cammember comprises a roller that engages the clamping arm.
 5. The cannulamount of claim 1, further comprising one or more springs configured tobias the cam member to the first position.
 6. The cannula mount of claim5, wherein the one or more springs comprises a plurality of springs. 7.The cannula mount of claim 5, further comprising a handle configured toactuate the cam member to the second position.
 8. The cannula mount ofclaim 7, wherein the handle is connected to the cam member by a link. 9.The cannula mount of claim 1, wherein the cam member comprises a magnetconfigured to interact with a metal member of the cannula when mountingthe cannula to the cannula mount.
 10. The cannula mount of claim 1,wherein the body is part of a manipulator arm of a patient side cart ofa teleoperated surgical system.
 11. The cannula mount of claim 1,further comprising a sensor configured to detect a position of the cammember.
 12. A cannula mount for a surgical system, the cannula mountcomprising: a body including an aperture sized and configured to receivea portion of a cannula; a plurality of pivotable clamping arms locatedwithin the aperture of the body, the clamping arms being configured toengage the portion of the cannula received in the aperture; and a cammember moveable between a first position and a second position; whereinthe cam member engages each of the clamping arms in the first positionto actuate the plurality of clamping arms to a closed position in whichthe clamping arms engage the portion of the cannula received in theaperture.
 13. A teleoperated surgical system, comprising: a cannula; anda cannula mount comprising: a body including an aperture sized andconfigured to receive a portion of the cannula; a pivotable clamping armlocated within the aperture of the body, the clamping arm beingconfigured to apply a clamping force to the portion of the cannulareceived in the aperture, the clamping arm comprising a cam followersurface; and a cam member moveable between a first position and a secondposition, the cam member comprising a cam surface; wherein on thecondition that the cam member is in the first position, the cam surfaceengages the cam follower surface of the clamping arm to actuate theclamping arm to a closed position in which the clamping arm applies theclamping force to the portion of the cannula received in the aperture;wherein on the condition that the cam member is in the second position,the clamping arm is free to move to an open position in which theclamping arm does not apply the clamping force to the cannula.
 14. Theteleoperated surgical system of claim 13, wherein the body is part of amanipulator arm of a patient side cart of the teleoperated surgicalsystem.
 15. The teleoperated surgical system of claim 13, furthercomprising a spring configured to bias the moveable cam member to thefirst position.
 16. The teleoperated surgical system of claim 13,further comprising a cannula sterile adaptor configured to be betweenthe portion of the cannula and the cannula mount, wherein the clampingarm is configured to apply the clamping force through the cannulasterile adaptor to the portion of the cannula received in the aperture.17. The teleoperated surgical system of claim 16: wherein the cannulasterile adaptor comprises a first portion comprising a rigid materialand a second portion comprising a compliant material; and wherein thefirst portion comprises a depression configured to receive a respectiveclamping arm of a cannula mount of the surgical system.
 18. Theteleoperated surgical system of claim 17, wherein the second portion ismade of a thermoplastic elastomer.
 19. The teleoperated surgical systemof claim 13, wherein the cannula comprises a metal member, and themoveable cam member comprises a magnet configured to interact with themetal member of the cannula when mounting the cannula to the cannulamount.
 20. The teleoperated surgical system of claim 19, wherein amagnetic force between the magnet and the metal member pulls the cammember to the first position to actuate the pivoting clamping arm andengage the cannula when mounting the cannula to the cannula mount. 21.The teleoperated surgical system of claim 16: wherein the cannulacomprises a bowl section, a tube, and an attachment portion; and whereinthe attachment portion is the portion of the cannula configured to bereceived within the aperture of the body of the cannula mount whenmounting the cannula to the cannula mount.
 22. The teleoperated surgicalsystem of claim 21, wherein the attachment portion comprises adepression configured to receive the clamping arm when mounting thecannula to the cannula mount.
 23. The teleoperated surgical system ofclaim 22, wherein the depression of the attachment portion furtherreceives the cannula sterile adaptor between the attachment portion andthe clamping arm when mounting the cannula to the cannula mount.